[Xanthogranulomatous pyelonephritis with septic lung metastases and infiltration of the colon. Difficult preoperative differential pulmonary hypernephroma metastasis diagnosis].
Xanthogranulomatous pyelonephritis (XGP) is a rare and aggressive form of chronic pyelonephritis for which partial or complete nephrectomy is mandatory [1.2]. The diagnosis and, in particular, the differentiation from hypernephroma is mostly established by the histopathological examination only. We have reviewed the literature and present an unusual case of XGP with septic spreading into the lungs mimicking pulmonary metastasis and with an inflammatory infiltration of the descending colon.
Hortling
N
N
Radiologische Klinik, Universität Bonn.
Layer
G
G
Albers
P
P
Schild
H H
HH
D000328:Adult; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D003092:Colitis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003106:Colon / Q000473:pathology; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D006801:Humans; D007668:Kidney / Q000473:pathology; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008175:Lung Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D008297:Male; D009392:Nephrectomy; D011705:Pyelonephritis, Xanthogranulomatous / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003074:Solitary Pulmonary Nodule / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D018746:Systemic Inflammatory Response Syndrome / Q000175:diagnosis / Q000473:pathology / Q000601:surgery
Xanthogranulomatöse Pyelonephritis mit septischen Lungenmetastasen und Infiltration des Kolons. Schwierige präoperative Differentialdiagnose zum pulmonal metastasierten Hypernephrom.